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1'hi s inrt~w~nt was
~l~aim oE ~ien Pr~par~d ?Y
Harold M. 1.0~9. .Ir•
~1 B. Oc~an 81vd.
Florid8 Stnart, Rla.
~cace oE..... _
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~Otitttp Of....St.._Lucie
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BF.FORE AlE, thF unde~se~ned authority, pe~sonall~~ appea.Pd
Lawrenct .1. ?ison~ President of Stuart Paint d~ Supply_~._.Tnc___________________________ who, ~
b~~in; dul~~ sworn, says that he is ~IY6~lii0~CYAt3tD0~ (the [agent] [~QAiQl~j'] of tlte lienor he.~ein)
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:c~hose• addre~ss is ...I~au~.+~...?.Q2_,._.Ria~..P.ost..Dffice._Bnx._65.,...Stuart,..,El~orida......----
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and that in ¢u~suance oJ a contract with .ERNEST..M~..R~VELLA..aad.P_~iYIS.IS...RQVELLA.--
----Iiusbaad•-and--W,i.fB*322A..Dtor.th._.~adexal--Si3hwa~ r--St-.-•-P~er~ce,.Florida.._....,
lie~nor furnishFd la6or, services o~ »iaterials consistin~ o/ _.one _~arac~e door ~f4
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--ys~t~.QU~ __s_ix~s._ gre~C.._li~e_..gLass..and..installatina,...and..fnur.---tA~.......-•----------
f1~E0 AND REC R .
_.entrance..~lonrs__and_installation.--- ----•-----i~- GA Y
~i~c~a Poi ~
e~ERK C~a wt
2n~8~~---~cfl~.x~lt~t~ _
; DFSCribe specially fabricated »iaterials sepa~ately) ~ ~ " ~8 ~
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on the following described seal p~ope~ty in -------~aint._I,ue3.e-------•-----------------------------------------•------
! Count~•, Florida That__p~~~__4~__~~~._.1~__dnd__~2__of.. tb.e._SUbdi.vision._nf._RUSSELL
! _ E~~~,---in..S
ectis,~n._28-.---T.awnshiF~--34__~au~h~...Banqe._ 4Q--East-,---as--ger --PSat
;
; _ thereof_._filed_. in._ Plat__ Book _ l.,__.page._ 1861__ St. Lu~i~ _.~q~~~y__.~~b~~G __R~~Qrds .
~ !Dcscribe~ prope~t su f
f
iciently f
o~ identi
f
ication and ~ive street add~ess i~ Qaailnble)
~p ou•nid bt~ -------ERNEST..Mt.__~4~~4__~Ai~_.~'I~~~~---1~.Y_FLI~?~--hu,sband_.anct.~erife------
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~ of n total ualue of $ 3~ 1~~ of which there remains unpaid $7.~939.9~...-----..__.
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and fusnished the fi~st of the same on___._..QC~S?heX__.1Q______________________ 19._~Q_ and the last of the
sa»~c on ..__.Noy_ember__1~_____________________ 19___?.Q_ and (if the lien u claimed by one not in priaity
. u~ith thc owncr) that the lieno~ seraed his notice to ownes on_________________________________________ 19_____._. by
~ (herc drse~ibc n:ethod of se~rrice of notice)-----------------------------------------------------------------------------•------------
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~ St t Paint b pp , Inc.
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Su~orn to and subseribed bef o~e me this__.....2Q.th . ay o~.. _ ,,:,t~ A
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. M1/ AATE Of FLORIQII AT •r
~ .11~• Commission expt~
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